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My mom has vascular dementia and bc of an unstageable pressure ulcer on her coccyx requires an SP catheter. She is highly susceptible to UTIs which cause delirium and combative behaviors preventing treatment she needs (ADLs, meds wound care). She is in a SNF that is highly rated by Medicare and US News. After her Lexapro was abruptly stopped bc of a mixup after a hospital stay, a physician assistant said her dementia was getting worse, started her on Depakote, then added Seroquel until she was a passed out in bed all the time. This is the person responsible for prescribing all psych meds at the SNF. There was no documentation for the PA to make these statements. My mom’s antidepressant was stopped suddenly and she was probably experiencing side effects from that. A psychiatrist came in and took mom off all those meds and prescribed .5 mg of Ativan up to 4x a days as needed. The SNF has continued to struggle with treating my mom. She has been back in the hospital for more UTIs and refusing care. Doctors at the hospital say she is way over sedated. Now the SNF won’t let her come back. I’m frightened by the black box warnings of antipsychotics but that is the only condition SNF would consider acceptable is for her to be massively drugged. I’m begging for help at the hospital and I need to discuss her case with the psychiatrist there. So far I’ve run into many obstacles getting her seen by a geriatric psychiatrist. Maybe now that she has nowhere to be discharged to, her meds will be better addressed.
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